Qonita Rabbani Saniyah Vira Falihah Jasman

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Presentation transcript:

Qonita Rabbani Saniyah Vira Falihah Jasman Bell‘s Palsy Qonita Rabbani Saniyah Vira Falihah Jasman

History Causess Risk Factors Sypmtomps Diagnosis Treatment Exercise Subthema History Causess Risk Factors Sypmtomps Diagnosis Treatment Exercise Outlook Complication

What‘s Bell‘s Palsy? involves a weakness or paralysis on one side of the face. Not caused by a stroke

investigation included 1011 patients seen over a fifteen-year period History investigation included 1011 patients seen over a fifteen-year period

Other viruses have been linked to Bell's palsy The facial nerve controls most of the muscles in the face and parts of the ear. Other viruses have been linked to Bell's palsy CausesS

Bell‘s Palsy Risk Factors

Symptomps

often a process of elimination Electromyography (EMG) and MRI, CT scans, or X-rays Diagnosis

Treatment Prednisolone Patients take it by mouth, usually two tablets a day for 10 days. This steroid reduces inflammation. This helps accelerate the recovery of the affected nerve. Prednisolone prevents the release of substances in the body that cause inflammation, such as prostaglandins and leukotrienes. Patients take it by mouth, usually two tablets a day for 10 days. Possible side effects include: abdominal pain, bloating acne difficulty sleeping dry skin headache, dizziness (spinning sensation) increased appetite increased sweating indigestion mood changes nausea oral thrush slow wound healing thinning skin tiredness These side effects normally get better after a couple of days.

Treatment Eye lubrication If the patient is not blinking properly the eye will be exposed and tears will evaporate. Some patients will experience a reduction in tear production. Both may increase the risk of damage or infection in the eye. EL The doctor may prescribe artificial tears in the form of eye drops and also an ointment. The eye drops are usually taken during the waking hours, while the ointment is applied before going to sleep. Patients who cannot close their eye properly during sleep will need to use surgical tape to keep it shut. Patients who experience worsening eye symptoms should seek medical help immediately. If you cannot get hold of your doctor, go the emergency department of your nearest hospital.

Treatment Care at home Dental care Problems with eating Dental care: … or gum disease (Gingivitis means inflammation of the gums, or gingiva. It commonly occurs because a film of plaque, or bacteria, accumulates on the teeth.). Brushing and flossing can help prevent this. Problem with eating: If there are difficulties with swallowing, the individual should chew food well and eat slowly. Choosing soft foods, such as yogurt can also help. if there is little or no feeling in the mouth it is easy for food to build up leading to decay or gum deases.

Treatment OTC (Over-the-counter) pain relief

Treatment Microlight Therapy Techniques Microlight therapy is a microcurrent and colored light technique that helps regain a more youthful appearance by lifting jawlines and cheeks, brightening skin tone, and smoothing fine lines and wrinkles. Microlight therapy in Brookline, MA works on skin of all ages and provides visible results to aging skin even if it's been damaged by overexposure to the sun or smoking. http://periozkeracupuncture.com/brookline-ma/microlight-therapy.html https://www.youtube.com/watch?v=GUg0SFgBgoQ Video

EXERCISE Facial workout Facial exercises: As the facial nerve begins to recover, tightening and relaxing facial muscles can help strengthen them. Sit relaxed in front of a mirror Gently raise the eyebrows, using the fingers to help, if needed Pull the eyebrows together and frown Wrinkle the nose Breathe in deeply and flare the nostrils Try to move the corners of the mouth outward Pull one side of the mouth up, then the other, to form a smile If you used your fingers, see if you can keep the smile after removing them

Exercises To close the eye Keeping the head still, look down with your eyes only Place one index finger gently over one eyelid to hold it closed With the other hand, pull the eyebrow up slightly, massaging along the browline to prevent stiffness Without using the hands, gently try pressing the eyelids together Hold the eyes half open

Outlook Plastic surgery

Outlook Botox Injection Mime therapy: This is a type of physical therapy. The patient is taught a series of exercises which strengthen the facial muscles. This usually results in better coordination and a wider range of movement. Plastic surgery: This can improve the appearance and symmetry of the face. Some patientsexperience enormous benefit if they are able to smile again. It does not cure the nerve problem. Botox: Botox injections in the affected side of the face can relax tight facial muscles and reduce any unwanted muscle contractions.

Complication Misdirected re-growth of nerve fibers: Nerve fibers re-grow in an irregular way. Ageusia Einleitung Most people with Bell's palsy make a full recovery. However, if damage to the facial nerve is severe, some complications are possible, including: This can result in involuntary contractions of some muscles. A patient may involuntarily close one eye when trying to smile. The problem might be the other way round - when the person closes one eye, the side of the mouth lifts involuntarily. Ageusia: Chronic loss of taste. This can result in corneal drying. The risk of corneal drying is even higher if Bell's palsy has also caused a reduction in tear production. Corneal ulceration can result in infection of the cornea, which can lead to severe loss of vision.

Complication Corneal ulceration: When eyelids cannot completely shut, the protective and lubricating tear film of the eye may become ineffective.

Complication Gustatolacrimal reflex : Also known as crocodile tear syndrome While the patient is eating, their eye will shed tears. It eventually goes away. In some rare cases, the problem can be longer lasting.

Video The Best BP Treatment https://www.youtube.com/watch?v=GUg0SFgBgoQ https://www.youtube.com/watch?v=7kc8BMt4Jwg#

https://www.medicalnewstoday.com/articles/158863.php https://www.ncbi.nlm.nih.gov/pubmed/7148998 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3140075/ https://healthjade.com/bells-palsy/ http://www.amhsjournal.org/article.asp?issn=2321- 4848;year=2013;volume=1;issue=1;spage=85;epage=88;aula st=Shelley

https://www. google. de/search https://www.google.de/search?q=eye+lubrication&rlz=1C5CHFA_enID788ID788&source=l nms&tbm=isch&sa=X&ved=0ahUKEwjAqf2YrPTbAhXhFZoKHboJBBcQ_AUICygC&biw=1 440&bih=736#imgrc=a9u7dJawKnFtbM https://www.google.de/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&v ed=2ahUKEwi12PKzr_TbAhXQxqQKHUlEA1cQjRx6BAgBEAU&url=https%3A%2F%2Fww w.youtube.com%2Fwatch%3Fv%3D6JsCx5nWlaE&psig=AOvVaw2O2lHgTZiWWzbVoEs_ WZF2&ust=1530206985229769 www.bellspalsy.org.uk This leaflet reproduced with the kind permission of L. Clapham, Superintendant Physiotherapist, Wessex Neurological Centre, Southampton General Hospital https://www.healthtap.com/topics/what-is-the-best-treatment-for-ageusia https://www.google.de/search?q=Corneal+ulceration&rlz=1C5CHFA_enID788ID788&sour ce=lnms&tbm=isch&sa=X&ved=0ahUKEwiVr7aUufTbAhWFbZoKHQirCk8Q_AUICigB&bi w=1440&bih=693#imgrc=9c73P3MKXCEs2M https://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&ved=2ahUKEwiF 4pf8t_TbAhXFKewKHTw9CykQjRx6BAgBEAU&url=https%3A%2F%2Funpodichimica.word press.com%2Fpage%2F30%2F%3Fpages- list&psig=AOvVaw1pKCYCJgf_1VluTxMZhYLx&ust=1530209268782962